Provider Demographics
NPI:1508041443
Name:STEEN, KENNETH JAMES (DC)
Entity Type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:JAMES
Last Name:STEEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 W BROWN ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:WYLIE
Mailing Address - State:TX
Mailing Address - Zip Code:75098-5815
Mailing Address - Country:US
Mailing Address - Phone:972-442-7401
Mailing Address - Fax:
Practice Address - Street 1:520 W BROWN ST
Practice Address - Street 2:SUITE D
Practice Address - City:WYLIE
Practice Address - State:TX
Practice Address - Zip Code:75098-5815
Practice Address - Country:US
Practice Address - Phone:972-442-7401
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-09
Last Update Date:2008-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10767111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor